David D Brown Do Inc | |
12062 Valley View St Ste 107 Garden Grove CA 92845-1738 | |
(714) 646-7040 | |
(714) 646-7143 |
Full Name | David D Brown Do Inc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 12062 Valley View St Ste 107, Garden Grove, California |
Authorized Official Name and Position | David D Brown (OWNER) |
Authorized Official Contact | 4792490435 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David D Brown Do Inc 4972 Marlin Dr Huntington Beach CA 92649-3580 Ph: (479) 249-0435 | David D Brown Do Inc 12062 Valley View St Ste 107 Garden Grove CA 92845-1738 Ph: (714) 646-7040 |
NPI Number | 1881250918 |
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Provider Enumeration Date | 05/14/2019 |
Last Update Date | 06/19/2019 |
Medicare PECOS PAC ID | 5496189458 |
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Medicare Enrollment ID | O20191227001210 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881250918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | David D. Brown |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1669652533 PECOS PAC ID: 9537230685 Enrollment ID: I20110502000203 |
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